Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Pediatrician cardiac surgery patient affected by ventricular septal defect (VSD): pre and post-surgery nursing management and general nurse care plann |
|---|---|
| Name | Dulcini Maria Vittoria |
| Supervisor(s) | Cavani Francesco |
| Academic Year | 2018/19 |
| Thesis type | Non research thesis |
Abstract
As evidenced by several studies, the incidence of congenital heart disease is around 0.8% among live births.
Some congenital heart defects are more frequent than others, the ventricular septal defect (VSD) represents 32% of congenital heart diseases.
The aim of this paper is to introduce the theme of congenital heart diseases, in particular the ventricular septal defect, through a review of the literature and also with a general planning of nursing care acted before and after surgery.
The VSD is a congenital heart defect which involves a communication between the right and the left ventricle for an interruption in the continuity of the interventricular septum which physiologically divides them. This implies an abnormal blood flow which passes from the left ventricle to the right one.
It is then analysed how this passage causes both pulmonary overflow and excessive pulmonary venous return, that lead to serious consequences for the patient’s health already after a few months since birth, requiring a surgery in the first months of life.
After a detailed description of VSDs, the fundamental role of nurse is underlined before surgery, in taking care of the patient and his family during the hospitalization, the surgery preparation and providing emotional and psychological support, and also after surgery when the nurse’s role is essential to help the patient in the pain management and in the prevention of risks related to the surgery.
Finally, generical diagnoses have been developed and have been correlated to indicators and activities that can be applied to every pediatric patient undergoing corrective surgery procedure for VSD with the help of NANDA-I, NOC and NIC taxonomy.